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"apellidos" => "Santisteban-López" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Medicina Familiar y Comunitaria, Unidad Docente de Albacete, España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital de Hellín, Albacete, España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Radiología, Hospital de Hellín, Albacete, España" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Case of a 64-year old woman with hyponatremia and hydrocephalus" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1403 "Ancho" => 2500 "Tamanyo" => 209442 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Mujer de 64 años, institucionalizada, con diagnóstico de hidrocefalia congénita en la infancia, ingresa en nuestro servicio por infección del tracto urinario. En la infancia la familia decidió reiteradamente desestimar actuación quirúrgica. En el momento actual en la exploración destacaba retraso mental moderado, paraparesia de miembros inferiores, pero con movilidad conservada en el resto. Presentaba al ingreso datos de hipernatremia severa (Nap: 168<span class="elsevierStyleHsp" style=""></span>mEq/l), en el contexto de probable diabetes insípida, (poliuria con tendencia a deshidratación y osmolaridad plasma tras restricción hídrica de 297<span class="elsevierStyleHsp" style=""></span>Osm/kg y buena respuesta a desmopresina s.c.) por lo que a la par que se trató la infección urinaria se pidieron hormonas hipofisarias, que se hallaban en límites por debajo de lo normal, de forma casi generalizada: GH<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05<span class="elsevierStyleHsp" style=""></span>ng/ml; LH: 20,58<span class="elsevierStyleHsp" style=""></span>mUI/ml; FSH: 15,30<span class="elsevierStyleHsp" style=""></span>mUI/ml; ACTH<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>5<span class="elsevierStyleHsp" style=""></span>pg/ml, y cortisol basal 15<span class="elsevierStyleHsp" style=""></span>μg/dl –no se realizó test de hipoglucemia–, TSH: 0,07<span class="elsevierStyleHsp" style=""></span>μU/ml y T4l: 0,68<span class="elsevierStyleHsp" style=""></span>ng/dl). Se realizó por tanto el diagnóstico de hipopituitarismo secundario probablemente, por hidrocefalia masiva. En la RMN cerebral realizada se observa en la <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>A imagen potenciada en T2 con dilatación muy severa de ventrículos laterales y escasa cantidad de parénquima cerebral circundante, sin edema transependimario. En la <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>B se aprecia imagen en T2 que muestra dilatación muy severa de astas frontales de ventrículos laterales, tercero y cuarto ventrículo.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicto de intereses</span><p id="par0010" class="elsevierStylePara elsevierViewall">Los autores declaramos no tener en absoluto ningún conflicto de intereses.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicto de intereses" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2012-12-02" "fechaAceptado" => "2013-02-17" "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1403 "Ancho" => 2500 "Tamanyo" => 209442 ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00142565/0000021300000006/v1_201308021135/S0014256513000908/v1_201308021135/es/main.assets" "Apartado" => array:4 [ "identificador" => "1022" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imagen del mes" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00142565/0000021300000006/v1_201308021135/S0014256513000908/v1_201308021135/es/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256513000908?idApp=WRCEE" ]
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